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General NPI Number Information
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NPI Number | 1396992418
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Entity Type | Organization
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Legal Business Name | MJOHNSTON PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 2115 NH US ROUTE 3
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City | CAMPTON
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State | NH
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Zip | 03223
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Country | US
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Telephone | 603-726-2900
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Fax | 603-726-2990
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Provider Business Mailing Address
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Address Line | 2115 NH US ROUTE 3
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City | CAMPTON
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State | NH
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Zip | 03223
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Country | US
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Telephone | 603-726-2900
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Fax | 603-726-2990
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Authorized Official
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Title or Position | OWNER
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Name | MELINDA JOHNSTON
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Credential | PT
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Telephone | 603-726-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2250
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License Number State | NH
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